CPT® Code 28232

The procedure described by CPT® Code 28232 refers to an open tenotomy of a single flexor tendon in the toe, classified as a separate procedure. A tenotomy is a surgical procedure that involves the incision of a tendon, which is a fibrous connective tissue that attaches muscle to bone. In this case, the focus is on the flexor tendon, which is responsible for bending the toe. The procedure begins with making an incision in the skin over the affected area of the foot or toe, allowing access to the underlying soft tissues. Once the incision is made, the surgeon carefully dissects the soft tissues to expose the flexor tendon that requires treatment. The tendon is then incised, effectively severing or releasing it to alleviate any tension or restriction that may be causing discomfort or functional impairment. To manage any bleeding that occurs during the procedure, electrocautery is utilized, which is a technique that uses electrical current to coagulate blood vessels. After the tendon has been successfully incised, the surgeon closes the operative wound in layers to promote proper healing and minimize complications. It is important to note that CPT® Code 28232 is specifically designated for the open tenotomy of a single toe tendon, distinguishing it from other related procedures, such as the open tenotomy of one or more flexor tendons of the foot, which is coded under CPT® Code 28230.